Student information – grade 4/5 – 2012/2013 –
mme. Knoll
September 12th, 2012
Student Name: ________________________________________________________________________________
Parent contact: Mom: ________________________________________________________________________________
Dad: _________________________________________________________________________________
Phone Number:
Mom: _________________________________________________________________________________
Dad: _________________________________________________________________________________
Email:
Mom: _________________________________________________________________________________
Dad: _________________________________________________________________________________
What are the strengths of your son/daughter?
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What does your son/daughter struggle with?
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How can I best meet the needs of your son/daughter?
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Any other details you think I should know regarding your son/daughter?
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